Yang Deficiency of Spleen and Kidney
Version 1.0.0 · Updated 2026-07-31
CORE DEFINITION
Typical pathogenesis of dawn diarrhea (morning diarrhea). The decline of Mingmen fire (kidney) fails to warm the spleen earth, leading to undigested food in stool.
SCAFFOLDING EFFECT
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Frozen earth. The sun (kidney) has not risen, the earth (spleen) is frozen, crops (qi and blood) cannot grow, and soil erosion (diarrhea) occurs. Must warm and supplement Mingmen (Sishen Wan) to rebuild the heat cycle.
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Kidney yang is the root of yang qi of the whole body; spleen yang relies on the warming of kidney yang to perform its transportation and transformation function. If Mingmen fire declines, it cannot warm the earth, leading to loss of spleen transportation, failure to transform water and grain, and clear yang not ascending while undigested food descends. At the fifth watch (3-5 a.m.), yin cold is at its peak and yang qi is just beginning to rise but not yet sufficient, so diarrhea occurs before dawn, known as 'dawn diarrhea'.
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